Lane Johnson
NPI #1639623366 in Travis Afb, California
Provider Information
- NPI Number
- 1639623366
- Entity Type
- Individual
- Name
- Lane Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 11, 2016
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 151 BODIN CIR
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1801
- Phone
- (207) 939-4284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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